Individual
DR. MASSOUD KASHANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1503 S COAST DR STE 110, COSTA MESA, CA 92626-1526
(714) 662-4424
(714) 546-0241
Mailing address
1503 S COAST DR STE 110, COSTA MESA, CA 92626-1526
(714) 662-4424
(714) 546-0241
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
030399
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
030399
CA
Other
Enumeration date
04/25/2007
Last updated
11/26/2020
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